I will be spending my birthday going to Trigonometry class and work tonight…ouch. I will try to do something fun this weekend to make up for it. My night was pretty intense at work. We had a Code Blue (cardiac arrest) on my b-day. The patient went into Torsades and then Ventricular Tachycardia to Ventricular Fibrillation. The RN’s rushed into the room with the crash cart. They gave the patient epinephrine and cardioverted his lethal rhythm using a defibrillator. The patient was unresponsive at first but then came out of V-Tach and into a 3rd degree heart block . The Doc was called in to perform an emergency catheterization. It turned out that the patient had an aneurysm in the LAD (left anterior descending coronary artery) and they had to suck out the blood clot. It was sad because the patient was only 50 years old and had a history of heart problems (genetics). I felt very good because I was able to spot ST elevations in leads II, III, and MCL. The charge nurse noticed reciprocal changes in the AVR and AVL leads. Furthermore, leading up to the code I also noticed he was having R-on-T PVC’s which causes a person to go into V-Tach. Whew….I had a night full of adrenaline. Not the average night. Glad to help save a life. I hope he turns his life around and doesn’t go eat a double cheeseburger and smoke a pack of cigarettes. Free will can be a good and bad thing.